Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.80 / $3,839.00 / $8,113.00	Facility		$657.80	$3,839.00	$8,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.13 / $610.04 / $784.40	Professional		$535.13	$610.04	$784.40
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.69 / $3,159.00 / $14,886.03	Facility		$2,344.69	$3,159.00	$14,886.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $610.38 / $633.41 / $765.10	Professional		$610.38	$633.41	$765.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $691.19 / $2,151.00	Facility		$500.00	$691.19	$2,151.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $509.68 / $722.20 / $1,251.85	Professional		$509.68	$722.20	$1,251.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,382.07 / $1,382.07 / $1,382.07	Facility		$1,382.07	$1,382.07	$1,382.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $740.88 / $962.02 / $1,232.63	Professional		$740.88	$962.02	$1,232.63
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $832.00 / $4,761.00 / $8,247.00	Facility		$832.00	$4,761.00	$8,247.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $542.64 / $657.80 / $2,843.00	Professional		$542.64	$657.80	$2,843.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $586.29 / $586.29 / $586.29	Facility		$586.29	$586.29	$586.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $738.60 / $1,572.50	Professional		$7.00	$738.60	$1,572.50
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $691.19 / $2,151.00	Facility		$500.00	$691.19	$2,151.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $511.49 / $722.20 / $1,251.85	Professional		$511.49	$722.20	$1,251.85
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $503.61 / $596.86 / $596.86	Facility		$503.61	$596.86	$596.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $503.61 / $596.86 / $632.96	Professional		$503.61	$596.86	$632.96
United Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $1,728.00 / $4,300.00	Facility		$550.00	$1,728.00	$4,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $500.52 / $680.39 / $1,199.53	Professional		$500.52	$680.39	$1,199.53